Doceree Reviews Jobs in Usa

The Opportunity:

A government agency seeks two admitted Document Review Attorneys for a short-term document review project scheduled to begin in early March with a duration of approximately four months. Must be available to work at least 35 hours weekly and additional hours, if needed. The hourly rate is $50, plus benefits.

Primary Duties:

The Document Review Attorneys will help coordinate the compliance review of filed election documents. Candidates must be comfortable navigating high volume and strict statutory timelines for review, hearings and providing notice and able to utilize the agency's digital systems for viewing scanned documents and generating letters. Additional duties include the following:

• Preparation of letters of non-compliance
• Compiling records for related hearings and litigation

Experience & Qualifications:

• New York State bar admission
• Minimum of 2- 5 years of legal experience
• Experience with digital document management systems

Frink-Hamlett Legal Solutions is an equal employment opportunity employer and all applicants will receive consideration for employment without discrimination based on race, color, creed, national origin, sex, age, disability, marital status, sexual orientation or citizenship status.

At Javitch Block LLC, we are looking for dependable and enthusiastic people interested in building a career with our great firm. Javitch Block LLC (JB) is looking for a full-time Associate Attorney - Pleading Review to work in our Fairlawn office and your qualifications and skill set may be an ideal match for this exciting career opportunity.

The Pleading Review Attorney will be responsible for reviewing complaints, letters and other pleadings and determining whether we have sufficient grounds to proceed based upon Federal and State and Client regulations. As part of an organization, the Pleading Review Attorney is responsible for remaining in compliance with all protocols in line with our organization goals, strategy, and values. Secondary responsibilities may include court appearances, file management, and collections negotiations.

The Ideal Candidate:

• Attorney will review pleadings for accurate information, including but not limited to, venue, balances, correct named parties, statute of limitations, proper documentation, proper theories of recovery
• Attorney may assist in legal research to ensure pleadings and laws contained therein are up-to-date with applicable laws
• Good communication skills
• Strong pleading and complaint experience with a knowledge of collections related court documents.
• Strong motivation, demonstrated by ability to work both independently and as part of a team.
• Computer and word processing skills including Word, PowerPoint, Excel along with quick ability to learn new technical programs

Education/Training/Experience:

• One (1) to two (2) years of experience in the Creditors’ Rights or Collection fields preferred.
• Juris Doctor Degree (J.D.)
• Must be licensed in state of Ohio
• Intermediate knowledge of Microsoft Word, Excel

Javitch Block offers a comprehensive benefits program including health insurance, paid vacation/personal time, 401(k), life insurance, and short and long-term disability.

You can learn more about Javitch Block LLC at

Essential Functions of the job:

• Review and validate QC data and test records.
• Support investigations related to Out of Specification (OOS), Out of Trend (OOT), and Out of Expectation (OOE) results.
• Ensure compliance with current Good Manufacturing Practices (cGMP) in the laboratory.
• Assist in the technical documentation of investigations and change control assessments to evaluate the impact on product quality, in alignment with FDA/EU regulations, international standards
• Undertake other duties as required.

This position is ideal for candidates who are detail-oriented and committed to quality assurance in the pharmaceutical industry.

Education/Experience Required:

• Bachelor’s Degree or above in Chemistry, Biochemistry, or Biotechnology related scientific discipline. Scientific degree (ideally chemistry, biochemistry, biotechnology or related).
• Minimum 4 years working experience in an FDA-regulated biotechnology or pharmaceutical company is required.
• Working knowledge and experience with chemistry analytical methods such as HPLC, GC, TOC, Capillary Electrophoresis (CGE-Reduced, CGE-Non-Reduced, and Capillary Zone Electrophoresis), etc.
• Strong working knowledge with USP/EP and cGMP/EU GMP.
• Technical writing experience.
• Familiar with instrument and equipment validation.
• Impressive, demonstrable track record and skills/experience gained within a similar position(s), at a similar level.
• Credible and confident communicator (written and verbal) at all levels.
• Strong analytical and problem-solving ability.
• Hands-on approach, with a ‘can do’ attitude.
• Ability to prioritize, demonstrating good time management skills.
• Excellent attention to detail, with the ability to work accurately in a busy and demanding environment.
• Self-motivated, with the ability to work proactively using own initiative.
• Committed to learning and development
• Self-motivated, with the ability to work proactively using own initiative.

Computer Skills:

• Strong PC literacy required; MS Office skills (Outlook, Word, Excel, PowerPoint).

Travel:

• Must be willing to travel approximately 10%.
• Ability to work on a computer for extended periods of time.

Director of Utilization Review (UR)

Peoria, IL | Meadowview Behavioral Hospital

Full-Time | On-site

$80,000–$110,000 + Annual Performance Bonus

About the Opportunity

Meadowview Behavioral Hospital — a brand-new, state-of-the-art psychiatric hospital opening in Peoria, IL — is seeking an experienced Director of Utilization Review (UR) to lead our Utilization Management Program. This is a unique chance to help build a department from the ground up and contribute to establishing a high‑performing behavioral health facility in our community.

Key Responsibilities

• Lead and oversee the Utilization Review / Utilization Management Program
• Ensure timely initial and continued-stay reviews that meet payer, regulatory, and accreditation requirements
• Collaborate with nursing, social work, case management, and clinical leadership on treatment planning and medical necessity compliance
• Manage payer communications regarding authorizations, denials, and continued stay reviews
• Oversee audit responses, performance improvement initiatives, and corrective actions
• Present utilization metrics to internal committees and leadership

Qualifications

• Bachelor’s degree required (Nursing, Social Work, Behavioral Sciences, etc.)
• Master’s degree strongly preferred
• 5+ years of clinical behavioral health or psychiatric experience
• 1+ year of leadership experience in UR, UM, case management, or related function preferred
• Strong understanding of payer requirements, treatment planning, and patient assessment

Why Join Meadowview?

As a brand‑new hospital, we offer the rare opportunity to help shape a growing organization from day one.

Full-time benefits include:

• 401(k) with company match
• Health, dental, vision insurance
• 100% company-paid life insurance (up to 2× salary)
• 100% company-paid long-term disability
• PTO + paid holidays
• On-site cafeteria & free parking
• Employee engagement & recognition programs
• Training and career advancement opportunities
• Supportive leadership and an inclusive, mission-driven culture

Ready to Make an Impact?

If you’re passionate about behavioral health and excited to help launch and lead UR operations at a new hospital, we’d love to connect.

Apply or message me directly to learn more.

Job Summary:

The Medical Promotional Review Specialist ensures the scientific accuracy, clinical appropriateness, and regulatory validity of promotional materials from a medical and scientific perspective. This role serves as a member of the Promotional Review Board (PRB), collaborating with cross-functional stakeholders including Marketing, Legal, Regulatory Affairs, and Medical Affairs. The specialist reviews promotional content, evaluates supporting scientific data, and provides recommendations to ensure compliance with approved labeling, regulations, and company policies while supporting safe and effective product use.

Key Responsibilities:

• Review promotional materials to ensure medical accuracy, scientific validity, and clinical appropriateness
• Verify alignment of promotional content with approved labeling, scientific evidence, regulations, and company policies
• Evaluate the appropriateness of data, references, and claims used in marketing materials
• Provide recommendations for alternative data, references, or language when needed
• Collaborate with PRB reviewers and commercial teams to address concerns related to promotional materials
• Engage with business partners early in promotional material development to improve efficiency
• Work with Medical Directors for assigned products or therapeutic areas to ensure alignment and mitigate risk
• Document review comments and verdicts within the PRB workflow system within assigned timelines
• Participate in Promotional Review Board meetings as required
• Stay current with medical literature and scientific data in assigned therapeutic areas
• Attend internal and external meetings and training related to regulations, scientific updates, and marketing strategy

Required Skills:

• Demonstrated expertise in reviewing medical literature and evaluating scientific validity of promotional content
• Ability to clearly and concisely communicate complex scientific information
• Proven ability to build and maintain collaborative cross-functional relationships
• Strong understanding of the US pharmaceutical industry, healthcare landscape, and promotional review compliance requirements
• Detail-oriented with strong editorial and analytical skills
• Strong organizational and prioritization abilities
• Ability to work effectively within cross-functional teams
• Ability to critically analyze and apply scientific data in a customer-focused manner
• Strong verbal and written communication skills
• Effective negotiation and influencing skills

Education:

• PharmD, MD, DO, or NP required
• Minimum 2 years of relevant professional experience (academic, clinical, or industry)
• Post-doctoral fellowship may substitute for professional experience where appropriate

Immediate need for a talented Hospital RN – Care Coordination & Utilization Review . This is a 06+months contract opportunity with long-term potential and is located in San Jose, CA (Onsite). Please review the job description below and contact me ASAP if you are interested.

Job ID: 25-80861

Pay Range: $80 - $95/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).

Key Responsibilities:

• Conduct utilization reviews using InterQual® / MCG®
• Support discharge planning and post-acute coordination
• Communicate with physicians, social work, and external providers
• Manage authorizations and payer-related workflows
• Maintain compliance with regulatory standards

Key Requirements and Technology Experience:

• Key Skills; CA RN License (Active)
• Acute inpatient hospital experience
• UM / Case Management / Discharge Planning background

Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

Job Title: Health Service Reviewers (RN)

Pay (openings for each location/market):

• Albany up to $52/hr
• Central Islip up to $60/hr

Overview: These RNs will be doing a mix of standard quality audits, complaint initiated investigations, and more. When they are onsite, the amount of time that they are at the location is dependent on the audit that is required. It is expected that Health Service Reviewers will be traveling onsite about 85% of the time.

These individuals will be traveling to IDD housing to do state required Recertification (must be done every 15 months) or investigating specific complaints (disease outbreak, falls, etc.).

Travel: 85% of this role is traveling to sites. It is more location based and they will be traveling to the counties that surround their location. If anyone is traveling and not able to return home, they are able to coordinate accomodations through the travel office and miles/food will be reimbursed at the federal rate. If they are not onsite, they can work from home or in the DOH office.

Summary: Based in NY, working at the direction of the New York State Department of Health (NYSDOH), Office of Aging and Long-Term Care, this individual will conduct surveillance and investigation activities related to Intermediate Care Facilities for Intermediate Care facilities for Individuals with Intellectual Disabilities (ICF/IDD). Duties include but are not limited to participating in surveys or complaint investigations, document finding, draft Statement of Deficiencies (SOD) within specified timeframes, testifying in administrative hearing ad needed.

The position is majority travel and will be onsite at facilities.

Qualifications:

• Strong interpersonal skills with the ability to communicate professionally with colleagues, supervisors, providers, medical and administrative personnel and residents/patients.
• Excellent communication (verbal & written) skills.
• Ability to work independently with minimal supervision.
• Ability to relate effectively to clinical and administrative personnel and patients.
• Computer proficiency with the ability to learn and understand new review programs and monitoring tools.
• Able to travel to on-site facility within New York State, required.
• Must have a valid driver's license & the ability to travel to on-site facilities review assignments.

Education/Experience:

• Registered Professional Nurse (RN). Currently licensed and registered in New York State, required.
• Bachelor’s degree, in any health care related field.
• Two (2) years clinical experience with individuals with intellectual disabilities or in developmental disability facilities and deemed QIDP (Qualified Intellectual Disability Professional and ability to meets the federal requirements for attaining QIDP Certification with six (6) months of hire date.

Hours: Monday-Friday 8am-5pm

Insight Global is seeking Technical Evaluation Review Board/CCB Coordinator to join our team for an exciting opportunity to work on a unique government contract. The contract assists in acquisition and technical sustainment engineering and will augment government resources. The coordinator manages government technical review board submissions, ensuring all programs meet required deliverables and are fully prepared for review before board meetings. They control document accuracy, track changes, and maintain compliant review packages across all stakeholders. The role requires confidently driving engineers and IPTs to meet requirements and deadlines, including pushing back when inputs are incomplete. This is a highly organized, assertive position focused on accountability, readiness, and execution.

Must Haves:

• BS/MS in engineering/specialty area
• 7 yrs directly related experience (5 yrs with MS degree)
• Active secret level security clearance or higher
• Strong planning, coordination, and organizational skills with the ability to manage multiple priorities
• Demonstrated experience developing, maintaining, and assessing technical baselines within controlled programs
• Familiarity with engineering standards, manufacturing methods, and configuration management practices, including military and ASME-guided environments
• Working knowledge of technical drawing conventions and engineering documentation controls
• Proficiency with Microsoft Office tools to prepare data-driven reports, metrics, and formal documentation
• High attention to detail, strong writing and verbal communication skills, and the ability to manage time effectively
• Ability to sit on-site at Hill AFB in Clearfield, UT Monday-Wednesday

Plusses:

• Experience supporting configuration and data management activities within a defense or government program environment
• Working knowledge of Air Force or DoD engineering release processes, configuration control standards, and technical documentation lifecycle management
• Familiarity with Engineering Change Proposals (ECPs), Interface Control Documents (ICDs), and associated revision and audit activities
• Prior involvement with functional and physical configuration audits, including coordination with suppliers or government facilities
• Training or certification in configuration or data management disciplines (e.g., CMPIC or similar)
• Demonstrated ability to maintain and protect complex engineering baselines for hardware and software systems
• Strong judgment and decision-making skills aligned with regulatory, contractual, and policy requirements
• Commitment to continuous learning and maintaining up-to-date technical proficiency

Lead position that requires multi-certification and disciplines necessary to handle project approvals from start to finish through the plan review and inspection processes in accordance with the Division's mission and performance objectives.

Direct and lead Building Inspector/Plans Examiners and seasonal/casual staff. Assist the Division Manager and Building Official with program planning and personnel direction. Oversee the coordination of the building safety plan review and inspection process. Conduct construction code reviews and inspections for residential, commercial, industrial and multi-family development proposals. Depending on the Division's needs, employees in this position may be assigned to focus primarily on plan review or inspection duties. This program is highly visible and often the first contact made with the City from those outside the community. These tasks are illustrative only and may include other related duties.

This recruitment is accepting applications for
Building Inspector/Plans Examiner III
Building Inspector/Plans Examiner IV (Plan Review Lead)

Full-Time 40 hours per week

AFSCME-represented positions

12-month probationary period

Must meet all qualifications and requirements as listed in the position description below.

Building Inspector/Plans Examiner III $38.25 - 48.66 Hourly

Building Inspector/Plans Examiner IV (Plan Review Lead) $41.27 - $52.51 Hourly

Building Inspector/Plans Examiner III
Leads and coordinates members of the development review and inspection teams to ensure a timely, predictable, comprehensive and accurate plan review and inspection process for any development proposal.

Reviews and inspects residential, commercial, industrial, and multi-family development proposals to ensure compliance with State and City codes/ordinances, engineering/architectural, and fire/life safety principles.

Depending on the Division's needs, performs construction plan review and site inspections:

• Conducts Pre-Development, Plan Intake, and Pre-Construction meetings.
• Takes the lead in coordinating plan reviews and inspections internally, with customers, and with other departments and agencies.
• Maintains communication with contractors to anticipate and resolve onsite issues.
• Performs building safety inspections and plan reviews.
• Calculates and assesses fees.
• Monitors permit and project status and follow-up with expired applications and permits.
• Maintains accurate records and files of construction plan reviews, inspections, and related correspondence. Archives documents as required.
• Manages phased development and deferred submittal process for assigned projects.
• Ensures special inspection and structural observation is accomplished where required.
• Recommends or issues Stop Work Orders, violation notifications, and other building code compliance actions when necessary.
• Issues final approval of construction permits.

Building Inspector/Plans Examiner III

Education and Experience
High school diploma, or equivalent required. Associates degree in Building Inspection Technology, Drafting, Engineering, Fire Prevention, or other related field preferred.

Four years of formal education, training, and/or experience in construction management, architecture, structural engineering, building design, construction inspection, and/or plan review providing the knowledge, skills and abilities necessary to perform the essential functions of the position.

Knowledge, Skills and Abilities
Thorough knowledge of construction practices, engineering concepts, and architectural principles.

Excellent customer service, communication, and public relations skills and the ability to mediate adversarial situations. Ability to proactively anticipate and mitigate problem areas before they become issues.

Prioritize and meet multiple demands by the construction industry, the general public and other City staff.

Organize, coordinate, chair, and effectively facilitate high profile meetings.

Interpret, disseminate, and communicate complex technical information, state and local construction regulations, City review process, and City policies effectively with technicians and non-technicians.

Possess a self-directed commitment to maintain current knowledge of construction standards, methods, technologies, and codes.

Get along well and maintain effective work relationships with coworkers and the public.

Special Requirements

Certifications: Incumbent must be certified in accordance with OAR 918-098. Oregon Inspector Certification is required within 60 days of appointment.

Certifications giving the incumbent the legal ability to perform work described in sets A, B, C, or D:

A: Inspection/Plan Review:
Commercial Inspection (A-Level Building, Mechanical)
Residential Inspection (Building , Mechanical)
Residential Plan Review
Commercial Plan Review (A-Level, Mechanical) must be obtained within the probationary period.
OR
B: Residential Multi-Discipline:
Residential Plan Review
Residential Inspection for 4: Building, Mechanical, Plumbing and Electrical
OR
C: Commercial Plan Review:
Commercial Plan Review (A-level, Mechanical)
Fire and Life Safety
Residential Plan Review and Residential Inspection required within the probationary period
D: Specialty Discipline- Commercial and Residential Inspection and Plan Review to include:

• Plumbing - Commercial and Residential Plumbing Inspector; obtain a Medical Gas Certification within the probationary period; or
• Electrical - Commercial and Residential Electrical Inspector; obtain a Fire Investigation Certificate within the probationary period.

Education and Experience
High school diploma, or equivalent required. Bachelor's degree in Architecture, Engineering, Construction Management, Public Administration or a closely related field preferred. Two years of experience in construction management, architecture, structural engineering, building design, construction inspection, and/or plan review.

Six years of formal education, training and/or experience in construction management, architecture, structural engineering, building design, construction inspection, and/or plan review providing the knowledge, skills and abilities necessary to perform the essential functions of the position.

Knowledge, Skills and Abilities
Thorough knowledge of construction practices, engineering concepts, and architectural principles.

Excellent customer service, communication, and public relations skills and the ability to mediate adversarial situations, and proactively anticipate and mitigate problem areas before they become issues.

Prioritize and meet multiple demands by the construction industry, the general public and other City staff.

Organize, coordinate, chair, and effectively facilitate high profile meetings.

Travel among City worksites, off-site meetings and presentations.

Interpret, disseminate, and communicate complex technical information, state and local construction regulations, City review process, and City policies effectively with technicians and non-technicians.

Experience in use of permit tracking systems. Excellent ability to use computer hardware, printers, and computer programs to conduct inspections, complete plan reviews, communicate and present information, track progress, schedule projects, and to perform the essential functions of the position.

Get along well and maintain effective work relationships with coworkers and the public.

Demonstrable commitment to quality and timely customer service.

Special Requirements
Certifications: Incumbent must be certified in accordance with OAR 918-098. Oregon Inspector Certification is required within 60 days of appointment.

State of Oregon Building Official Certification; or State of Oregon Inspector Certification and International Code Council Certified Building Official Certification, must be obtained within the probationary period.

Certifications giving the incumbent the legal ability to perform work described in sets A, B, or C:
A: Inspection/Plan Review:
Commercial Inspection (A-Level Building, Mechanical)
Commercial Plan Review (A-Level, Mechanical, Fire and Life Safety)
Residential Inspection (Building , Mechanical)
Residential Plan Review
OR
B: Residential Multi-Discipline:
Residential Plan Review
Residential Inspection for 4: Building, Mechanical, Plumbing and Electrical

OR
C: Specialty Discipline - Commercial and Residential Inspection and Plan Review to include:

• Plumbing - Commercial and Residential Plumbing Inspector plus obtain a Medical Gas Certification within the probationary period; or
• Electrical - Commercial and Residential Electrical Inspector plus obtain a Fire Investigation Certificate within the probationary period.

Qualified applicants must submit an online application located on the City of Corvallis website(click on "Apply" above).

Position is open until filled.

First review of applications will occur after 8:00 AM on Friday March 6, 2026.

Resumes will not be accepted in lieu of a completed online application.

Late or incomplete applications will not be accepted/considered.

*Please do not include personal or protected information in attached resumes or cover letters, this includes your birth date, age, dates of education, and graduation dates.*

Position Title: Clinical Review Clinician - Appeals

Work Location: Remote - Nationally sourced (Preference for 2 candidates in AZ)

Assignment Duration: 6 months

Work Schedule: 8:00 AM - 5:00 PM EST or CST

Work Arrangement: Remote

Schedule is 8-5 EST or CST hours. Staff will work when there are members of the supervisor/leadership on.

Cases are assigned in round robin fashion for staff to review and work.

The Organization's clinical team handles various types of authorization and claim review requests from various markets nationwide, processing clinical reviews to ensure members have the best outcomes and access to care needed.

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  Nurses review case files, add, update or edit authorizations.

  
  
  
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  Work closely with the MD team to make final decisions on cases.

  
  
  
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  Process clinical reviews to ensure members have access to care needed.

  
  
  
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  Help reduce provider abrasion by processing retrospective claim reviews.

  
  
  
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  Work closely with supervisors, senior clinicians, and the coordinator team on end-to-end case processes.

  
  
  
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  Participate in team collaboration via Teams group chats for routine questions.

  
  
  

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  Education/Certification (Required): Associate in nursing, Bachelor's in nursing or higher.

  
  
  
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  Licensure (Required): RN, LPN

  
  
  
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  Licensure (Preferred): LVN

  
  
  
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  Must haves:

  
  
  
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    Medicare knowledge

    
    
    
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    InterQual or Milliman Experience

    
    
    
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    Clinical reviews for Utilization Management or Appeals

    
    
    
  
  
  
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  Nice to haves:

  
  
  
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    Medicare Appeals Experience

    
    
    
  
  
  
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  Disqualifiers:

  
  
  
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    Not having a valid/active RN/LPN license

    
    
    
  
  
  
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  Performance indicators:

  
  
  
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    Productivity expectations vary based on platform.

    
    
    
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    Prime: 7 CPD

    
    
    
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    iCP: 9 CPD

    
    
    
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    CenPas: 20 CPD cases per day

    
    
    
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    95% quality on all cases
    
    

    
    
    Candidate Requirements
    
    Education/Certification
    Required: Associate in nursing, Bachelor's in nursing or higher.
    Preferred:
    
    Licensure
    Required: RN, LPN
    Preferred: LVN
    
    
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    • Years of experience required
      
    • Disqualifiers
      
    • Best vs. average
      
    • Performance indicators
      
    
    
    Must haves: Medicare knowledge, InterQual or Milliman Experience, Clinical reviews for Utilization Management or Appeals
    
    Nice to haves: Medicare Appeals Experience
    
    Disqualifiers: Not having a valid/active RN/LPN license
    
    Performance indicators: Productivity expectations vary based on platform. Prime 7 CPD, iCP 9 CPD and CenPas is 20 CPD cases per day with 95% quality on all cases
    
    Best vs. average: Productivity expectations are set based on platform.
    
    
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    • Top 3 must-have hard skills
      
    • Level of experience with each
      
    • Stack-ranked by importance
      
    • Candidate Review & Selection
      
    
    
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    Utilization Management or Appeals review background (1 plus year)
    
    2
    Medicare NCD/LCD and InterQual/Milliman Software (1 plus year)
    
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    Retrospective claims clinical reviews (1 plus year)
    
    
  
  
  

Immediate need for a talented Operations Specialist III – Medicaid / Medi-Cal (Epic + Utilization Review. This is a 06+months contract opportunity with long-term potential and is located in Long Beach, CA(Remote). Please review the job description below and contact me ASAP if you are interested.

Job ID: 26-02810

Pay Range: $30 - $45/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).Traveler benefits as per agency package. (Benefits vary by vendor and assignment.)

Key Responsibilities:

• Medicaid / Medi-Cal Chart Review
• Perform comprehensive health chart and administrative chart reviews
• Ensure documentation completeness and regulatory compliance
• Identify and escalate quality or utilization concerns
• Support Medicaid program performance metrics and reporting
• Utilization Review & Authorizations
• Conduct Utilization Review activities
• Support authorization workflows and payor processes (Anthem, Blue Shield, etc.)
• Review medical necessity documentation
• Collaborate with clinical and administrative teams to resolve discrepancies
• Epic & Workflow Execution
• Navigate and abstract data within Epic (HealthConnect preferred)
• Manage assigned review queues and documentation workflows
• Track operational performance metrics
• Suggest workflow improvements where applicable
• Operational & Process Support
• Assist in centralizing and refining hospital/system-wide workflows
• Support productivity standards and cost-reduction initiatives
• Contribute to operational efficiency and sustainability projects
• Schedule: 8:00 AM – 4:30 PM
• 5 days/week including every other weekend (Saturday & Sunday

Key Requirements and Technology Experience:

• 1–2+ years healthcare operations experience (3–5 years ideal)
• Strong Medicaid / Medi-Cal background
• Experience with Epic EHR (Kaiser HealthConnect highly preferred)
• Utilization Review exposure (authorization workflows, Tapestry preferred)
• Experience conducting chart reviews (clinical or administrative)
• Ability to work independently post-training
• Stable healthcare employment history
• Education: High School Diploma required; Associate or Bachelor’s degree preferred.

Our client is a leading Healthcare Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.

Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.

To be part of our organization, every employee should understand and share in the Yale New Haven Health System Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

• Flexible schedules to ensure work-life balance. Keeping the patient at the center of everything we do, we focus on improving clinical care, outcomes, patient satisfaction, safety, value, clinical research, and education. Our efforts reach beyond the walls of our hospitals to care for our communities, too.

• Unlock your potential and embrace exciting opportunities for professional growth and career advancement within our esteemed healthcare system!

• Enjoy an enhanced compensation package. If you're looking for a challenging and rewarding career where you can make a real difference, we want you on our team.

• We recognize how vital a smooth transition is, and with our relocation assistance, your journey can be seamless.

• Employee wellness initiatives and support programs. Professional development and continuing education opportunities. Yale New Haven Health includes Yale New Haven, Bridgeport, Greenwich, Lawrence + Memorial, and Westerly hospitals; several specialty networks; and Northeast Medical Group, a physician-led multi-specialty group with over 1,000 physician. Intriguing cities with something for everyone, whether you love arts, history, parks or delicious food.

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

Provides exceptional patient care in collaboration with anesthesiologists, surgeons and other physicians to deliver anesthesia for medical and surgical procedures. Cultivates a patient centric environment which focuses on the whole individual inclusive of physical, psychosocial, spiritual and functional needs of the patient, family, and significant others. Serves as the focal professional for the continuity of care in patient care within scope of practice standards, as well as specialty specific standards to address and resolve problems that may arise. Overview: A call CRNA is part of a core team of dedicated CRNAs who provide timely anesthetic and emergency care for patients in a 24/7 model. This position is full-time and distinguished from non-call CRNAs who have a regular, patterned schedule. A call CRNA position entails a flexible, non-pattered schedule with in-house call responsibilities including off-shifts, weekends, and holidays. A call CRNA possesses excellent clinical skills, a commitment to patient safety, and the ability to work effectively in a fast-paced environment. A call CRNA is eligible for the call compensation program in recognition of the position and commitment to the core team. Schedule Requirements: Availability to work off-shifts, weekends, and holidays as part of the restricted in-house call rotation in partnership with other members of the core call team. Willingness to respond to emergency calls and provide anesthesia services within the hospital setting. Required to give 90 days? notice when transitioning or resigning from the call team.

• • Clinical Care
  • 1.1 The Certified Registered Nurse Anesthetist (CRNA) implements accurate, safe, patient centric anesthetic care.
  • Professional Skill
  • 2.1 Understands physiologic implications and anesthetic considerations of surgical procedures, constantly monitors vital signs, capnography, and pulse oximetry during anesthesia according to ASA guidelines.
  • Information Management
  • 3.1 The CRNA ensures appropriate documentation within the accordance of hospital and regulatory requirements and protects information of all forms, whether computer-based, paper, film, voice, or other media from unauthorized access modification, destruction, or intentional or accidental disclosure.
  • Quality Management
  • 4.1 The CRNA is expected to demonstrate a high standard of moral and ethical behavior, professionalism, compassion, and commitment to patient care.
  • Professional Development
  • 5.1 The CRNA continuously engages in projects that maintain and advance professional competency.

EDUCATION

Certified Registered Nurse Anesthetist Completion of Certified Nurse Anesthetist Training Program Graduate of a Nurse Anesthesia Educational Program accredited by the American Association of Nurse Anesthetist Council on accreditation of Nurse Anesthesia Programs. Current State of Connecticut Nursing License, Advanced Practice Registered Nurse (APRN) licensure in the State of Connecticut.

EXPERIENCE

Prefer clinical working experience as a CRNA within the given specialty/service line recommended, but none required. APRNs, PAs, CRNAs and CNMs are required to be appointed to the Affiliated Medical Staff of a YNHHS Hospital and credentialed through the Medical Staff process. Evidence of current competence to practice as {an APRN, PA, CRNA, CNM} via appropriate reference letters from physicians and other practitioners must be able to be obtained during the Medical Staff appointment process in order to be eligible.

LICENSURE

Certified Registered Nurse Anesthetist AANA Certification, State of CT RN and APRN License, ACLS DEA Registration and State of CT Controlled Substance Registration

SPECIAL SKILLS

CRNA's must have sharp concentration and focus, along with the ability to stay calm under stressful conditions. CRNAs must be able to communicate clearly and effectively with surgeons and the surgical support team, as well as with patients and their families. A calm and reassuring manner is one way to inspire trust in patients, who may be apprehensive about surgery, as well as the surgical team. Anesthetic patient management must be immediate and responsive. Flexibility and adaptability are required.

PHYSICAL DEMAND

A CRNA must be able to demonstrate intellectual-conceptual, integrative and quantitative abilities; skills in observation, communication and motor functions; and mature behavioral and social attributes. Sensory- CRNA must be able to detect and interpret changes in monitoring alarms and equipment. Functional vision, hearing. no impairment of sense of smell and tactile sensation must be adequate. CRNA must be able to observe a patient accurately at a distance and close.Communication-CRNA should be able to speak, hear and observe. CRNA must be able to communicate effectively- includes speech, reading and writing.Motor -CRNA should have sufficient motor function to elicit pertinent information. CRNAs should be able to stand for long periods of time and wear lead as needed for fluoroscopy, X-Ray cases. CRNAs must have the ability to lift 25 pounds and reach above and below shoulder height. CRNA must be able to negotiate patient care environments and be able to move self/patients between anesthesia locations. Coordination of both gross and fine muscular movements, equilibrium, and functional use of the senses of touch and vision is required. Intellectual-Conceptual, Integrative and Quantitative Abilities-Abilities include measurement, calculation, reasoning, analysis and synthesis. Problem-solving, the critical skill demanded requires all of these intellectual abilities. CRNA should be able to comprehend 3-dimensional relationships and understand the spatial relationships. Behavioral and Social Attributes -CRNA must possess the emotional health required for full utilization of intellectual abilities, the exercise of good judgment, the prompt completion of responsibilities. CRNA must be able to tolerate physically taxing workloads and to function effectively under stress and able to adapt to changing environments, display flexibility and learn to function in the face of uncertainties inherent in the clinical problems of many patients.

To learn more, please email or schedule an interview with our In-House Provider Recruiter:

James Hammell -

EEO/AA/Disability/Veteran

YNHHS Requisition ID

134457

Sentinel Underwriting Review is seeking an experienced field inspector to perform exterior insurance underwriting inspections in the following coverage areas:

• Grand Traverse, Benzie, Leelanau Counties (Traverse City / Northwest Michigan)
• Alpena, Presque Isle, Montmorency, Oscoda, & Alcona Counties (Northeast Lower Michigan)
• Escanaba, Delta, Menominee Counties (South-Central Upper Peninsula)
• Houghton, Hancock, Baraga Counties (Western Upper Peninsula / Keweenaw Region)

$25–$30 per inspection | Flexible | Ongoing Volume

This opportunity is ideal for someone already performing field inspections or related work who is looking to add supplemental volume and additional income to their existing route.

• Pay: Typically $25–$30 per completed inspection

• Inspection Type: ~90% exterior-only (drive-by underwriting inspections)

• Interior Inspections: ~10% (scheduled with homeowner)

• Time on Site: Typically 5–10 minutes for exterior inspections

• Scheduling: Flexible – route yourself

• Volume: Ongoing assignments available in the region

• Turnaround: Standard 21–30 days (rush assignments occasionally available)

High-performing inspectors receive priority assignment volume.

These are insurance underwriting condition inspections, not full home inspections.

Responsibilities include:

• Capturing required exterior photos (front, rear, angles, roofline, outbuildings, hazards)

• Identifying visible underwriting concerns (roof condition, debris, liability hazards, etc.)

• Completing a short digital inspection report

• Occasionally preparing a simple property sketch

• Scheduling homeowners for the limited interior inspections

All reports and photos are submitted through Sentinel’s online reporting platform.

This opportunity works well for professionals already working in the field such as:

• Independent home inspectors

• Field service inspectors

• Real estate professionals

• Property appraisers

• Insurance field representatives

• Contractors or property service professionals

• Retired insurance professionals seeking flexible supplemental income

We are specifically seeking individuals already operating in Southwest Michigan who can incorporate these inspections into their existing routing.

• Reliable vehicle

• Smartphone or digital camera

• Computer access for report submission

• Ability to meet turnaround deadlines

• Professional communication and reliability

• Valid driver’s license and proof of insurance

• Background check required

Experience with insurance underwriting inspections or field services preferred but not required.

If you currently perform drive-by underwriting inspections or similar field work and are interested in adding inspection volume in Allegan, Van Buren, Berrien, or Cass County, we would like to hear from you.

Please reply with:

• Your experience
• Counties you currently cover or are willing to cover
• Whether you currently perform underwriting or field inspections

Job Description:

• Training Pay: Guaranteed $1,500/wk.  After training: Average $100,000 Annually
• Varying schedule.
• Currently offering a sign on bonus of up to $10,000 depending on experience

• Competitive pay and benefits, including Day 1 Health & Wellness Benefits, Employee Stock Purchase Plan, 401K Employer Matching, Education Assistance, Paid Time Off, and much more
• Growth opportunities performing essential work to support America’s food distribution system
• Safe and inclusive working environment, including culture of rewards, recognition, and respect

• Communicates and interacts with customers, vendors and co-workers professionally ensuring questions are answered accurately and in a timely manner.
• Functions as a team member within the department and organization, as required, and perform any duty assigned to best serve the company.
• Performs all required safety checks (i.e., pre/post trip) including inspections of tractor/truck and trailer according to Department of Transportation (DOT) regulations; inspects tractor/truck and trailer to insure they meet company safety standards and take appropriate action as needed.
• Reports all safety issues and/or repairs required.
• Follows all DOT regulations and company safe driving guidelines and policies.
• Immediately reports all safety hazards. Inspects trailer for properly loaded and secured freight.
• Performs count check of items and check customer invoices of products that have been loaded.
• Checks and completes in an accurate and in legible fashion all required paperwork associated with freight.
• Moves tractor to the loading dock and attach preloaded trailer as needed.
• Drives to and delivers customer orders according to predetermined route delivery schedule.
• Unloads products from the trailer, transports items into designated customer storage areas.
• Performs damage control checks on items, scans, and contact supervisor about removing orders according to company policy.
• Verifies delivery of items with customer and obtain proper signatures.
• Collects money (cash or checks) where required. Loads customer returns on to trailer and secures trailer doors.
• Ensures that tractor, trailer, and freight are appropriately locked and/or always secured.
• Unloads damaged goods and customer returns and bring to the driver check-in and complete necessary paperwork. Unloads all equipment, materials and remove trash from trailers as required.
• Completes daily record of hours of service and enter in log in accordance with Federal DOT, state, and company requirements.
• Performs general housekeeping duties in tractor, loading dock area and keep trailers clear and clean as required.
• At the end of the shift secure all equipment and complete all necessary paperwork.
• Performs other related duties as assigned. 

Qualifications:

Company description

Awards and Accolades

Job Description:

• $30.00-$35.00 per hour, depending on experience. 
• Sunday - Thursday 3rd shift hours starting around 6:00 pm:  Flexible on starting time 
• Benefits Day 1 of Employment.  Free Uniforms and Safety Boots

• Competitive pay and benefits, including Day 1 Health & Wellness Benefits, Employee Stock Purchase Plan, 401K Employer Matching, Education Assistance, Paid Time Off, and much more
• Growth opportunities performing essential work to support America’s food distribution system
• Safe and inclusive working environment, including culture of rewards, recognition, and respect

• Complete and perform preventative maintenance on minor repairs and standard component inspections/ repairs of fleet diesel equipment (tractors, trailers, refrigeration units) as well as identifying root causes of basic failures/conditions and perform repairs as required.
• Ensure equipment has required licensing and registration prior to being deemed as “roadworthy”.
• Complete thorough documentation for work orders of repairs and preventative maintenance through the online Enterprise Asset Management system.
• Install, replace, and repair onboard computers.
• Inspect brake systems, steering mechanisms, wheel bearings, and other important parts to ensure that they are in proper operating condition which may require replacement of parts.
• Perform routine maintenance such as changing oil, checking batteries and lubricating equipment and machinery requiring the use of hand tools such as screwdrivers, pliers, wrenches, pressure gauges, and precision instruments, as well as power tools such as pneumatic wrenches, welding equipment, and jacks and hoists.
• Performs other related duties as assigned. 

Qualifications:

Company description

Awards and Accolades

Ready to build a career with a company that's leading the foodservice industry? Join the US Foods Team!

**US FOODS DRIVERS EARN UP TO $130K IN THEIR FIRST YEAR!**

**$15,000 RETENTION BONUS FOR ELIGIBLE NEW HIRES! **

Schedule: Monday - Saturday, w/two days off (must work Saturdays)

Dispatch times are between 12:00 AM & 5:00 AM

Benefits Begin Day 1! Medical, dental, vision, 401K, life insurance, strong safety culture, and much more!  Excellent local leadership.

US Foods is one of the largest food distributors with a culture and history of promoting from within, excellent training programs and a continuous improvement focus. 

Main Ingredients of the Job

• Safely drive trucks to customers and meet scheduled customer delivery times

• Carefully unload products from the trailer with a two-wheeler, pallet jack, or by hand and place in designated customer storage areas

• Verify accuracy of delivery with customers and obtain proper signatures

• Handle collections and payments from customers when applicable

• Professionally perform customer service responsibilities to enhance our client experience

• Perform all pre-trip and post-trip equipment inspection

Physical Requirements

• Ability to lift/carry/push/pull 20 to 80+ lbs. of product repetitively during each shift required

• Comfortable driving and working in inclement weather conditions with frequent stops (10+ per shift) required

What You Bring to the Table

• Register to the FMCSA Clearinghouse*

• Must be at least 21 years of age

• Must have valid CDL Class A issued by the state of legal residence with necessary endorsements and DOT qualifications

• Minimum of six months commercial driving experience (any industry) OR three months commercial driving experience in the food and/or beverage delivery industry required

• Ability to operate manual transmission preferred; may be required in specific locations

• Must be able to read and communicate in the English language - able to hold a conversation, to understand highway traffic signs and signals, to respond to official inquiries,  and to enter information on reports and records.

Why US Foods

US Foods®  helps our customers Make It, with products and services that shape the communities where we live and work. Opportunities in our company abound for skilled, forward-thinking associates.

Great drivers are crucial to the US Foods® team and one of the important faces of our organization. On and off the road, our drivers strive for integrity and reliability, while building trusting relationships with customers.

At the foundation of those efforts are our cultural beliefs, the pillars that define our work ethic, collaborative spirit and service. Together we help our customers make it, but we also believe in helping our drivers make it!

At US Foods®, we are committed to Total Rewards that respect and reward our associates for their dedication and hard work.

*Registering to the FMCSA Clearinghouse is a requirement by the Department of Transportation. All Drivers are required to the Clearinghouse website and register to the new database. The Clearinghouse is a secure online database that provides real-time information about commercial driver’s license (CDL) and commercial learner’s permit (CLP) holders’ drug and alcohol program violations. If you have not registered to the FMCSA database, please note registration is required. Please visit and click GO to login. If you are able to log into login, but are having trouble with the Clearinghouse registration, see “Clearinghouse Help” field on the clearinghouse page.

Compensation depends on relevant experience and/or education, specific skills, function, geographic location, and other factors as applicable by law.  The expected base rate for this role is between $34 and $39.​  This role will also receive overtime compensation and shift differential where applicable.

Benefits for this role may include health insurance, pre-tax spending accounts, retirement benefits, paid time off, short-term and long-term disability, employee stock purchase plan, and life insurance. To review available benefits, please click here:

Ready to build a career with a company that’s leading the foodservice industry?

US Foods is one of the largest food distributors with a culture and history of promoting from within, excellent training programs and a continuous improvement focus. 

We are looking for Class A Driverswho are flexible and and open to making multi-yard  trips to get route started. These Drivers relish the chance to push their potential, grow and reap the rewards of joining the US FOODS® family. This would require commute/travel to various assigned yards located in Oregon to get the routes started. [commute/travel times may vary]

We help YOU make it! Compensation depends on relevant experience and/or education, specific skills, function, geographic location, and other factors as applicable by law.

The expected base rate for this role is between $30.31 and $33.68 per hour.

• As applicable, this role will also  receive: overtime compensation.

SCHEDULE : Early morning start times

• Start times may vary based on route assignment

• Start times range between 1am - 6am

• Monday - Saturday availability

• Average work week is 4 or 5 days

• Route assignments are covering multiple yards located in Oregon

• Routes may alternate on a weekly basis

• Schedules may include weekends

EXCELLENT BENEFITS: Benefits for this role may include health insurance, pre-tax spending accounts, retirement benefits, paid time off, short-term and long-term disability, employee stock purchase plan, and life insurance.

• MILEAGE REIMBURSEMENT

• HOTEL PAID PER ROUTE ASSIGNMENT NEEDS

• MEAL ALLOWANCE / PER DIEM

Main Ingredients of the Job

As a US FOODS® Delivery Driver, you will be critical to the US FOODS® team and one of the important faces of our organization. As a Delivery Driver, you will have an impact on our customers by delivering our meats, produce, frozen goods, groceries, dry goods, equipment, and supplies to their drop-off sites. Your efforts are the foundation that defines US FOODS® success based on our pillars of cultural beliefs, work ethic, collaborative spirit, and service.

• Deliver best-in-class Customer Service.

• Deliver customers’ orders to meet scheduled delivery times and keep productivity.

• Unload products with a hand truck and place items in the customer storage area. 

• Able to perform repeated, manual heavy lifting of items up to 80 pounds.

• Make frequent stops during a work shift. 

• Deliver product in inclement weather conditions. 

• Verify delivery of items with customers.

• Collect money (cash or checks) where needed. 

US FOODS® has a lot to offer:

• Local routes (some overnights required)

• Work Schedule is starting in the early morning until finished.

• US FOODS® is the company built on YOU Matter, where your hard work is rewarded.

• We are committed to compensation, and benefits that respect, and reward our employees for their dedication and hard work.  

• Paid Training AND Paid Overtime

• Service recognition and employee rewards

• Excellent Leadership  

What you bring to the table

• Must be at least 21 years of age. 

• Must have valid CDL Class A issued by the state of legal residence with necessary endorsements and DOT qualifications.

• High school diploma or general education degree (GED) preferred.

• Valid U.S. driver’s license issued by the state of legal residence with proper endorsements if required

• No more than two convictions in the past two-year period for traffic violations, no DUI convictions in the past three years, no driver’s license suspensions in the past three years.

• Minimum of six months of commercial driving experience (any industry) OR three months of driving experience in the food and beverage delivery industry required.

• Must be able to pass DOT physical.

Great delivery truck drivers are crucial to the US Foods® team and one of the important faces of our organization. Our truck drivers strive for integrity and reliability while building trusting relationships with customers. JOIN OUR TRANSPORTATION TEAM!

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